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NPI Code Detail

MEDICARE: HOPE T,LLC

MEDICARE: HOPE T,LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor617KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1116075OTHERKSBCBS

General Provider Information

NPI Number : 1649260928
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPE T,LLC
Provider Business Mailing Address
First Line : 116 SE 7TH ST
Second Line :
City : TOPEKA
State : KS
Zip : 66603-3902
Country : US
Telephone Number : 785-233-4673
Fax Number : 785-235-0101
Provider Business Practice Location Address
First Line : 116 SE 7TH ST
Second Line :
City : TOPEKA
State : KS
Zip : 66603-3902
Country : US
Telephone Number : 785-233-4673
Fax Number : 785-235-0101
Authorized Official
Title or Position : CEO/OWNER
Name : MR. RONCE PARKS
Credential : B.S.
Telephone Number : 785-233-4673
Provider Enumeration Date : 10/26/2005
Last Update Date : 08/22/2020

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Directions to “HOPE T,LLC ” Practice Location

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